EILEEN KOZLOVSKY
NPI 1942612171
Counselor - Professional in Green Bay, WI

Active since May 22, 2014PECOS EnrolledAccepts Medicare Assignment
1131 BEECHWOOD DR, GREEN BAY, WI 54313(920) 619-6539 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eileen Kozlovsky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EILEEN KOZLOVSKY (NPI 1942612171) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (2121) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1942612171
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEILEEN KOZLOVSKY
Location Address1131 BEECHWOOD DRGreen Bay, WI 54313-7020
Mailing Address1131 Beechwood DrGreen Bay, WI 54313-7020
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 22, 2014
✔ NPI 1942612171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 2121
1131 BEECHWOOD DR, Green Bay, WI 54313

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eileen Kozlovsky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719325232
PECOS Enrollment IDI20240403002041
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eileen Kozlovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
FOUNDATIONS HEALTH AND WHOLENESS INC, 1061 W MASON ST.
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eileen Kozlovsky's NPI number?

The NPI number for Eileen Kozlovsky is 1942612171. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Eileen Kozlovsky located?

Eileen Kozlovsky practices at 1131 Beechwood Dr, Green Bay, WI 54313. The listed phone number is (920) 619-6539.

What is Eileen Kozlovsky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eileen Kozlovsky enrolled in Medicare?

Yes. Eileen Kozlovsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eileen Kozlovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Kozlovsky reassigns Medicare benefits to Foundations Health And Wholeness Inc (Green Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eileen Kozlovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eileen Kozlovsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Medica and UnitedHealthcare list Eileen Kozlovsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eileen Kozlovsky was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.